The Effects of Obesity for Laparoscopy- Assisted Distal Gastrectomy in Patient with Early Gastric Cancer.
- Author:
Su Mi CHOI
1
;
Min Chan KIM
;
Jong Hun LEE
;
Ki Han KIM
;
Hong Jo CHOI
;
Young Hun KIM
;
Se Heon CHO
;
Ghap Joong JUNG
Author Information
1. Department of Surgery, Dong-A University College of Medicine, Busan, Korea. mckim@donga.ac.kr
- Publication Type:Original Article
- Keywords:
Laparoscopic gastrectomy;
Early gastric cancer;
Obesity
- MeSH:
Body Mass Index;
Female;
Gastrectomy*;
Humans;
Male;
Obesity*;
Postoperative Complications;
Retrospective Studies;
Stomach Neoplasms*
- From:Journal of the Korean Surgical Society
2005;69(1):31-35
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purpose: Laparoscopy-assisted distal gastrectomy (LADG) has recently been accepted as a feasible and acceptable method for early gastric cancer surgery. Surgeons have long suspected that obesity might increase the intra-operative or postoperative complications. We set out to clarify the effects of obesity on LADG for early gastric cancer treatment. METHODS: We retrospectively reviewed 97 patients who had undergone LADG for early gastric cancer between May 1998 and March 2003. The degree of obesity was based on the Body Mass Index (BMI, kg/m2), with patients assigned to two groups: normal BMI (BMI <23 kg/m2) and high BMI (BMI= 23 kg/m2). RESULTS: There were no significant differences between the normal and high BMI groups in terms of patients' characteristics, surgical outcomes and postoperative courses, postoperative complication and operation time. However, there was a significant statistical difference in the operation time among the latter four groups (P=0.004). And the male with high BMI group took particularly a longer operation time than female groups with normal BMI (P=0.006) and high BMI (P=0.013). Conclusion: In LADG patients with early gastric cancer, obesity may affect the operation time, and the male high BMI group takes particularly a longer operation time than the female groups.
